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DEBRA LOGRANO DAZZO LCSW
NPI 1194918110
Social Worker - Clinical in Port Jefferson Station, NY

Active since August 22, 2007PECOS EnrolledAccepts Medicare Assignment
204 PATCHOGUE RD, PORT JEFFERSON STATION, NY 11776(631) 473-1320 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Debra Lograno Dazzo Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBRA LOGRANO DAZZO LCSW (NPI 1194918110) is an individual clinical provider in Port Jefferson Station, New York, licensed in New York (073436) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1194918110
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDEBRA LOGRANO DAZZOCredential: LCSW
Location Address204 PATCHOGUE RDPort Jefferson Station, NY 11776-1021
Mailing Address15 Eden DrSmithtown, NY 11787-1204
Phone(631) 473-1320
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 22, 2007
Last NPPES UpdateMarch 1, 2024
NPPES CertifiedMarch 1, 2024
✔ NPI 1194918110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 073436
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
204 PATCHOGUE RD, Port Jefferson Station, NY 11776
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Debra Lograno Dazzo Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406866581
PECOS Enrollment IDI20060503000769
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11776 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debra Lograno Dazzo's NPI number?

The NPI number for Debra Lograno Dazzo is 1194918110. It was assigned to this individual provider in the NPPES registry on August 22, 2007.

Where is Debra Lograno Dazzo located?

Debra Lograno Dazzo practices at 204 Patchogue Rd, Port Jefferson Station, NY 11776. The listed phone number is (631) 473-1320.

What is Debra Lograno Dazzo's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Debra Lograno Dazzo enrolled in Medicare?

Yes. Debra Lograno Dazzo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Debra Lograno Dazzo was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.